Two sisters with prenatal growth failure, disproportionate short stature, and feeding difficulties

A familial short stature syndrome is described in two sisters. Clinical features include severe pre- and post-natal growth failure, strider, feeding difficulties in the first 2 years requiring nasogastric feeding and facial dysmorphism reminiscent of Three M syndrome. Intellectual function is normal. Skeletal surveys show short long bones, small square iliac bones, short femoral necks and vertebral bodies which are short in the antero-posterior diameter with narrowing of the interpedicular distance inferiorly. Clin Dysmolphol 7: 269-274 1998 (C) Lippincott Williams & Wilkins.